Psychiatric episodes in women with young children

Katherine L. Wisner*, Kathleen S. Peindl, Barbara H. Hanusa

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

33 Scopus citations

Abstract

An historical cohort study was performed. Subjects were 118 pregnant women or mothers of children of <3 years who were assessed at presentation to a psychiatric hospital and 5 years later. The relationship of episode onset to childbearing (during pregnancy or within 3 months of birth) was derived from psychiatric records at presentation and retrospectively determined by interview and life-event charting at follow-up. Determining childbearing status from records yielded an error rate of 30% compared with the status derived from direct interview. A change in diagnosis in the ChildBearing-Related Onset Illness (CBROI) category occurred in 50% of subjects. When Research Diagnostic Criteria were applied retrospectively to the presenting episodes, 95% of women with CBROI had affective disorder diagnoses. Clinicians in our intake setting often missed episodes of mania or hypomania in our subjects' histories.

Original languageEnglish (US)
Pages (from-to)1-11
Number of pages11
JournalJournal of Affective Disorders
Volume34
Issue number1
DOIs
StatePublished - Apr 16 1995

Keywords

  • Mood disorder
  • Postpartum depression
  • Postpartum psychosis
  • Pregnancy

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

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